Transition management provides relocation assistance and intensive service coordination activities to assist nursing facility, hospital, IMD, and ICF/IID residents to transition to community settings of their choice. Transition managers provide oversight and coordination activities for participants during a transitional period up to twelve (12) months following a return to the community. This provider type will function as a liaison between the participant, institutional or facility discharge staff, and other individuals as designated by the participant and the Department to support a successful and sustainable transition to the community. A participant is eligible to receive transition management when planning to discharge from a qualifying institution after residing within that institution for a minimum of forty-five (45) days.
01.Provider Qualifications. Transition managers must: a. Complete a background check and receive a clearance under IDAPA 16.05.06, "Criminal History and Background Checks";b. Have documented successful completion of the Department-approved Transition Manager training prior to providing any transition management and transition services;c. Have a Bachelor's Degree in a human services field from a nationally accredited university or college, or three (3) years' supervised work experience with the population being served; andd. Be employed with a provider type approved by the Department.02.Service Description. Transition management includes the following activities: a. A comprehensive assessment of health, social, and housing needs;b. Development of housing options with each participant, including assistance with housing choices, applications, waitlist follow-up, roommate selection, and introductory visits;c. Assistance with tasks necessary to accomplish a move from the institutional setting;d. Securing Transition Services under Subsection 326.17 or Subsection 703.15 of these rules to make arrangements necessary to move, including:i. Obtaining durable medical equipment, assistive technology, and medical supplies, if needed;ii. Arranging for home modifications, if needed;iii. Applying for public assistance, if needed;iv. Arranging household preparations including scheduling moving and/or cleaning services, utility set-up, purchasing furniture, and household supplies, if needed.e. Coordinating with others involved in plan development for the participant to ensure successful transition and establishment in a community setting;f. Providing post-transition support, including assistance with problem solving, dependency and isolation concerns, consumer-directed services and supports, post-secondary educational institutions and proprietary schools when applicable, and community inclusion.03.Service Limitations. Transition management is limited to seventy-two (72) hours per participant per qualifying transition.Idaho Admin. Code r. 16.03.10.350